Individual provider Active NPI

Roberto Castaneda Rosas, D.C.

  • Chiropractor
  • Huntington Beach, CA
National Provider Identifier
1225377880
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32507 Issued in CA
Practice address
19171 Magnolia St
Suite #2
Huntington Beach, CA 92646-2244
Phone
(714) 454-6227
Fax
(714) 962-6432
NPI assigned
Feb 1, 2013
Last updated
Feb 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32507 CA Primary

Addresses

Primary practice location

19171 Magnolia St
Suite #2
Huntington Beach, CA 92646-2244

Mailing address

19171 Magnolia St
Suite #2
Huntington Beach, CA 92646-2244
Phone (714) 454-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130402000427 CA Practitioner - Chiropractic 2668617242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9220 Haven Ave
Suite 101
Rancho Cucamonga, CA 91730-8551
Phone (909) 276-4035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32507CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosas Chiropractic Inc Chiropractor CurrentSince Mar 20, 2013 Accepting new patients
Allergy and Asthma Specialty Center Inc PastSince Apr 17, 2024 Accepting new patients

Locations

19171 Magnolia St
Ste 2
Huntington Beach, CA 92646
Phone (714) 454-6227

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1225377880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19171 MAGNOLIA ST",
            "address_2": "SUITE #2",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462244",
            "telephone_number": "714-454-6227",
            "fax_number": "714-962-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19171 MAGNOLIA ST",
            "address_2": "SUITE #2",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462244",
            "telephone_number": "714-454-6227",
            "fax_number": "714-962-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "ROBERTO",
        "middle_name": "CASTANEDA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.